Stacy Goodin, FNP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AP130767 Issued in TX

Legal business name

STACY GOODIN, FNP

Practice address

5012 S US Highway 75
Denison, TX 75020-4587

Phone

(903) 465-5012

Fax

(866) 307-7513

NPI assigned

May 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Goodin, FNP

Title

FNP

Phone

(903) 465-5012

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1356796817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-465-5012",
            "fax_number": "866-307-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-465-5012",
            "fax_number": "866-307-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY GOODIN, FNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "GOODIN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "903-465-5012",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "AP130767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "AP130767",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Edward Spencer, MD
• Preston Kline Spindle, M.D.
• Jami Lyn Spivey
• Megan St Amour
• Kevin B Stacks, MD
• Pollyanna E Stanley
• Richard Stanley
• Alicia Leigh Starr, MD
• Una M Starr, LPC
• Ronal Stas Jr.

• Clinic/Center in Denison, TX
• Providers in Denison, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.